A commercial laboratory specializing in the construction of dental appliances that conform to a dentist?s specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Dental Laboratory |
292200000X |
| NPI # | 1265735633 |
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| LBN Legal business name | WARRENDALE DENTAL CENTER PC | ||||
| Authorized official | TRACEY ROBINSON - (ADMINSTRATOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 12/07/2010 | ||||
| Last updated | 12/07/2010 - About 16 years ago | ||||
| Identifiers |
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